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Pijat Laktasi untuk Memperlancar Produksi Asi pada Ibu Nifas Hari Ke Satu Sampai Hari ke Enam Jesica Permatasari; Septi Tri Aksari; Norif Didik Nur Imanah; Dahlia Arief Rantauni
An-Najat Vol. 3 No. 3 (2025): Agustus : An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i3.3265

Abstract

The postpartum period is a transitional period characterized by physiological and psychological changes. A common problem is disruption of the breastfeeding process, particularly the production of breast milk. Non-pharmacological efforts such as lactation massage can help increase breast milk production. This study aims to determine the effectiveness of lactation massage on the smooth production of breast milk in postpartum mothers using a qualitative case study method, with data obtained through interviews, examinations, and observations. The intervention carried out on Mrs. A was a lactation massage for 15–20 minutes, twice by the researcher and 10 times by her husband with a recommended frequency of massage twice a day in the morning and evening focusing on the breast area. Providing lactation massage to Mrs. A resulted in a significant increase in breast milk production, from 1 ml on the first day to 70 ml on the sixth day. Therefore, lactation massage is effective in increasing breast milk production and can be a supporting method in overcoming breastfeeding obstacles in postpartum mothers.
Pijat Oksitosin sebagai Intervensi Non-Farmakologis dalam Meningkatkan Keberhasilan Dalam Produksi ASI Murniasih, Enggar; Nur Imanah, Norif Didik; Rantauni, Dahlia Arief; Khomsah, Yuli Sya’baniah
Jurnal Mahasiswa Kesehatan Vol. 7 No. 1 (2025): OKTOBER 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jumakes.v7i1.6971

Abstract

Produksi ASI yang sedikit dipengaruhi oleh hormon prolaktin dan oksitosin yang kurang bekerja, Pijat oksitosin merupakan solusi untuk meningkatkan produksi ASI dilakukan dengan memijat area sepanjang tulang belakang hingga tulang rusuk kelima dan keenam. Penelitian Pijat Oksitosin bertujuan sebagai terapi non farmakologis untuk meingkatkan produksi ASI. Metode yang digunakan adalah studi kasus kualitatif pada satu subjek, NY. E usia 28 tahun. Intervensi dilakukan dengan melakukan Pijat Oksitosin selama seminggu dilakukan sebanyak 1 kali sehari pada sore hari sebelum mandi. Hasil menunjukkan peningkatan volume ASI dari hari pertama meningkat 11 ml, hari kedua 4 ml, hari ketiga 25 ml, hari keempat 40 ml, hari kelima 65 ml, hari keenam 80 ml dan hari ketujuh 100 ml. Pemberian Pijat Oksitosin efektif dalam meningkatkan produksi ASI. Intervensi ini dapat dijadikan terapi komplementer dalam penanganan kurangnya Produksi ASI.  Breast milk production is influenced by the performance of the hormones prolactin and oxytocin. Oxytocin massage is a non-pharmacological solution aimed at increasing breast milk production by stimulating the area along the spine down to the fifth and sixth ribs. This study aimed to examine oxytocin massage as a non-pharmacological therapy to enhance breast milk production. A qualitative case study method was used involving one subject, Mrs. E, aged 28 years. The intervention consisted of administering oxytocin massage once daily in the afternoon before bathing, over a period of one week. The results showed a gradual increase in breast milk volume: 11 ml on the first day, 4 ml on the second day, 25 ml on the third day, 40 ml on the fourth day, 65 ml on the fifth day, 80 ml on the sixth day, and 100 ml on the seventh day. Oxytocin massage proved effective in enhancing breast milk production. This intervention may serve as a complementary therapy in addressing insufficient breast milk production.  
Efektivitas Pijat Nifas terhadap Kualitas Tidur Malam Hari pada Ibu Postpartum Mely Rahma, Faradila Nur; Aksari, Septi Tri; Nur Imanah, Norif Didik; Rantauni, Dahlia Arief
Jurnal Mahasiswa Kesehatan Vol. 7 No. 1 (2025): OKTOBER 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jumakes.v7i1.7069

Abstract

Masa nifas merupakan periode penting untuk pemulihan fisik dan psikologis ibu setelah melahirkan. Salah satu keluhan umum yang dialami adalah gangguan tidur malam, yang dapat berdampak pada kesehatan dan kualitas hidup. Penelitian ini bertujuan untuk mengetahui efektivitas pijat nifas dalam memperbaiki kualitas tidur malam pada ibu postpartum. Metode yang digunakan adalah studi kasus kualitatif pada satu subjek, Ny. M, ibu usia 28 tahun yang mengalami gangguan tidur selama masa nifas.  Intervensi berupa pijat nifas dilakukan selama tiga hari berturut-turut, sekali setiap sore sebelum mandi, dengan durasi 15–30 menit. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi, serta didukung oleh literatur terkait. Hasil menunjukkan peningkatan kualitas tidur, dengan durasi tidur malam bertambah 0,5 jam pada hari pertama, 1,5 jam pada hari kedua, dan 2 jam pada hari ketiga. Tidur menjadi lebih nyenyak dan keluhan sulit tidur berkurang. Pijat nifas terbukti efektif dan aman sebagai terapi komplementer untuk meningkatkan kualitas tidur pada ibu masa nifas.
PEMBERIAN AROMA THERAPY LAVENDER TERHADAP KUALITAS TIDUR IBU POST PARTUM DI PUSKESMAS KESUGIHAN Rohmatul Laila; Septi Tri Aksari; Dahlia Arief Rantauni; Norif Didik Nur Imanah
Jurnal Intelek Dan Cendikiawan Nusantara Vol. 1 No. 4 (2024): AGUSTUS - SEPTEMBER 2024
Publisher : PT. Intelek Cendikiawan Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Masa nifas atau post partum merupakan masa pemulihan setelah melahirkan, pada masa nifas ibu akan mengalami penyesuaian setelah hamil dan melahirkan. Penyesuaian ini menyebabkan perubahan yang dapat menimbulkan ketidaknyamanan, ketidaknyamanan yang dapat dialami adalah rasa cemas dan gangguan tidur. Gangguan tidur pasca melahirkan dapat meningkatkan stres ibu dan meningkatkan kepekaan terhadap perubahan suasana hati. Ritme tidur ibu terganggu dan ibu lebih sering terbangun hal ini dapat meningkatkan depresi pasca melahirkan, suasana hati ibu, juga mempengaruhi kualitas tidur bagi ibu post partum. Untuk mengatasi masalah gangguan tidur dapat menggunakan terapi non farmakologi dan terapi farmakologi, salah satunya dengan menggunakan lilin aroma therapy lavender, aromaterapi adalah terapi yang didasarkan pada penggunaan sistematis minyak tumbuhan esensial (terkonsentrasi) yang disuling. Bunga, akar, tumbuh-tumbuhan, buah-buahan, damar atau kulit kayu dan senyawa aromatik tanaman lainnya untuk memelihara dan meningkatkan kesejahteraan fisik, fisiologis dan mental. Aromaterapi lavender terbukti efektif karena lavender sendiri memiliki aroma dan zat yang menenangkan sehingga membuat ibu merasa lebih rileks. Aromaterapi lavender juga terbukti meningkatkan kualitas tidur karena kandungan lalool lavender yang mampu memberikan efek menenangkan yang dapat mempengaruhi inti raphe otak.
Pengaruh Pemberian Kompres Hangat Terhadap Penurunan Nyeri Punggung Pada Kehamilan Trimester III Resti Setyaningsih; Dahlia Arief Rantauni; Septi Tri Aksari; Norif Didik Nur Imanah
An-Najat Vol. 3 No. 4 (2025): November: An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i4.3282

Abstract

Pregnancy is a physiological process that brings about various physical changes, one of which is lower back pain, commonly occurring in the third trimester. Hormonal changes, weight gain, and a shift in the body’s center of gravity are the primary factors contributing to this complaint. Back pain can interfere with daily activities and reduce the quality of life for pregnant women. One non-pharmacological method that can be used to alleviate pain is warm compress therapy. This study aims to evaluate the effectiveness of warm compresses in reducing the intensity of back pain in third-trimester pregnant women. The method used is a case study with a descriptive observational approach and the 7-step Varney management (SOAP). The subject of the study is Mrs. A, at 39 weeks of pregnancy, who received regular warm compress therapy. The results showed a significant decrease in pain, from an average pain scale of 7 to 4 after the intervention. Warm compresses provide muscle relaxation, increase blood circulation, and reduce muscle tension due to ischemia. Based on the gate control theory, warm compresses suppress pain perception in the brain and provide comfort for pregnant women.  
Pengaruh Yoga Excercise Dalam Mempercepat Penurunan Kepala Janin Pada Ibu Hamil Trimester III syifa, naufal; Norif Didik Nur Imanah; Rantauni, Dahlia Arief; Aksari, Septi Tri
An-Najat Vol. 3 No. 4 (2025): November: An-Najat : Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v3i4.3312

Abstract

The third trimester of pregnancy is a critical period in preparing for childbirth, one of which involves facilitating the descent of the fetal head into the pelvic cavity. Fetal head descent is an indicator of labor readiness and can be supported through non-pharmacological interventions such as yoga exercises. This study aims to determine the effect of yoga exercises on accelerating fetal head descent in third-trimester pregnant women. The research employed a qualitative method with a case study approach on a single subject, Mrs. A, 22 years old, G1P0A0, with a gestational age of 41 weeks and a fetal head descent of 4/5. The intervention consisted of prenatal yoga performed daily for six consecutive days, each session lasting 30 minutes. The evaluation results showed a fetal head descent from 4/5 to 2/5 following the yoga sessions. The yoga exercises included a combination of stretching, breathing techniques, and relaxation designed to improve pelvic muscle flexibility and optimize fetal positioning. These findings indicate that yoga exercises are effective in accelerating fetal head descent before labor and can serve as a safe, non-pharmacological management alternative that is simple to implement.
Pemberian Pelatihan pada Kader Kesehatan tentang Pijat Oketani Guna Proses Kelancaran Pemberian ASI Ibu Menyusui Ellyzabeth Sukmawati; Dahlia Arief Rantauni; Norif Didik Nur Imanah
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i2.2029

Abstract

The purpose of implementing community service activities is to provide skills to health cadres about the Oketani massage technique as one of the techniques to facilitate the process of breast milk production. The method of implementing this service is carried out by providing training through lectures, discussions and questions and answers with the help of powerpoint media, mannequins and videos. The technique of measuring the achievement of the implementation of activities is carried out by measuring knowledge in pre and post test. The place where the service activities were carried out was carried out in Maos District, Cilacap Regency with a total of 50 health cadre participants with a time allocation from March to September 2024. The result of the activity was the Oketani massage training which is one of the alternatives for breastfeeding mothers to smooth the milk production process with massage techniques. The results of the pre-test and post-test assessments showed an increase in scores, which was an indicator of the success of this community service activity. The increase in knowledge of posyandu cadres is expected to be disseminated to the wider community, so as to have a wider positive impact. This activity has important implications in making a positive contribution to improving the knowledge of health cadres, which in turn can help solve maternal problems in terms of breastfeeding. Thus, this community service activity is not only beneficial for posyandu cadres, but also has the potential to improve the health of mothers and children in the community as a whole.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.N USIA 29 TAHUN G2P1A0 DIWILAYAH KERJA PUSKESMAS MAOS Rini Rochayati; Ellyzabeth Sukmawati; Yuli Sya’baniah K; Norif Didik Nur Imanah; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.582

Abstract

One indicator of the state’s health status is the decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Central Java Province in 2020 the MMR is 98,60 per 100.000 live births and the IMR is 8,2 per 1000 live births. Cilacap Regency MMR and IMR in recent years are still quite high. AKI in 2019 reached 15 cases. With continuous midwifery care from pregnancy to the selection of contraceptives, it is hoped that it will be an effort to reduce MMR and IMR in Indonesia and achieve optimal maternal and child health. The writing of this final project is in the form of a case study using a midwifery process approach using 7 steps of Varney and SOAP. The results of this study were obtained by Mrs. N during her pregnancy, she was in good health, the delivery process was normal, the puerperium involution was running normally, the baby was not jaundiced and was walking normally, and on family planning counseling the mother chose a 3-month injectable contraceptive. The conclusion of this study the author has applied continuous midwifery care to Mrs. N which is marked by the mother having followed all the recommendations, the mother’s complaints during pregnancy are resolved, the mother gives birth at a health facility, the postpartum period is running normally, the baby’s condition is normal, and the mother chooses a shhort-term contraceptive method.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.D MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Diana Sriyani; Septi Tri Aksari; Dahlia Arief Rantauni; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.588

Abstract

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning. The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning. The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning. Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates. The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Risa Intan Fitriyani; Ellyzabeth Sukmawati; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.589

Abstract

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates. This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation. Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.